24-Hour Home Care in Oakville, MO
Care around the clock from two or three caregivers working shifts, so someone is always awake and on duty at home. Post what you need in Oakville for free and hire a caregiver directly, with no agency mark-up.

24-Hour Home Care in Oakville, MO: the local picture
303 Oakville residents 65 or older have difficulty dressing or bathing (3.9%; 6.0% in St. Louis County), and 1,220 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.
About 907 residents are 85 or older (2.6% of the population).
If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Bethesda Southgate in Saint Louis (1.0 mi) and Nazareth Living Center in Saint Louis (2.7 mi).
Oakville compared with St. Louis County and Missouri
| Census figure | Oakville | St. Louis County | Missouri |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 3.9% | 6.0% | 6.4% |
| Residents 65+ with serious difficulty walking | 16% | 18% | 21% |
| Residents 65+ with serious difficulty remembering | 5.2% | 6.3% | 8.0% |
| Residents 85 or older | 2.6% | 2.4% | 2.0% |
| Residents 65+ in households who live alone | 23% | 32% | 30% |
| Residents 65+ below the poverty line (approx.) | 5.7% | 8.2% | 10% |
| Median income, households headed by someone 65+ | $71,839 | $63,295 | — |
Older residents in towns around Oakville
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Arnold, MO | 3.2 mi | 4,078 | 10% |
| Mehlville, MO | 3.6 mi | 6,316 | 8.6% |
| Concord, MO | 4.6 mi | 4,406 | 5.7% |
| Green Park, MO | 5.2 mi | 595 | 4.0% |
| Columbia, IL | 5.6 mi | 1,839 | 5.6% |
| Sappington, MO | 6.0 mi | 1,805 | 6.8% |
Home health agencies serving Oakville
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Mercy Home Health | Saint Louis, MO | 7.6 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 525-1045 |
| Evertrue Home Health | St. Louis, MO | 12 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 352-7889 |
| Aw Health Care | Saint Louis, MO | 15 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (314) 726-5600 |
| Healthy Family Home Care, LLC | Ellisville, MO | 17 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 594-2332 |
| Phoenix Home Care And Hospice | Saint Louis, MO | 19 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (636) 695-4330 |
Nursing homes near Oakville (to compare)
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Bethesda Southgate | Saint Louis, MO | 1.0 mi | 5 of 5 | 130 | (314) 846-2000 |
| Nazareth Living Center | Saint Louis, MO | 2.7 mi | 1 of 5 | 121 | (314) 487-3950 |
| Woodland Manor Nursing Center | Arnold, MO | 4.2 mi | 2 of 5 | 178 | (636) 296-1400 |
| Delmar Gardens South | Saint Louis, MO | 4.5 mi | 4 of 5 | 184 | (314) 842-0588 |
Straight-line miles from the center of Oakville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a 24-hour caregiver can help with
- Someone awake and on duty at all hours
- Personal care, meals and medication reminders through the day
- Help at night without relying on one tired caregiver
- Written handover notes between shifts
What 24-hour home care costs in Oakville
24-hour care is 168 paid hours a week. At $15.90 an hour (the Missouri median aide wage) that is about $11,575 a month in wages before any overtime, 193% of the $5,987 monthly median income of Oakville households headed by someone 65+. Rates are agreed with each caregiver. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.
What to know before hiring a 24-hour caregiver
24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.
Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
24-Hour Home Care in Oakville: common questions
How much does 24-hour home care cost in Oakville?
24-hour care is 168 paid hours a week. At $15.90 an hour (the Missouri median aide wage) that is about $11,575 a month in wages before any overtime, 193% of the $5,987 monthly median income of Oakville households headed by someone 65+. Rates are agreed with each caregiver. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
How many caregivers does 24-hour care take?
A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.
More senior care near Oakville
24-Hour Home Care in nearby cities
- 24-Hour Home Care in Arnold, MO
- 24-Hour Home Care in Mehlville, MO
- 24-Hour Home Care in Concord, MO
- 24-Hour Home Care in Green Park, MO
- 24-Hour Home Care in Columbia, IL
- 24-Hour Home Care in Sappington, MO
- 24-Hour Home Care in Lemay, MO
- 24-Hour Home Care in Affton, MO
- 24-Hour Home Care in Dupo, IL
- 24-Hour Home Care in Sunset Hills, MO
- 24-Hour Home Care in Imperial, MO
- 24-Hour Home Care in Crestwood, MO
- 24-Hour Home Care in Fenton, MO
- 24-Hour Home Care in Barnhart, MO
- 24-Hour Home Care in Shrewsbury, MO
- 24-Hour Home Care in Murphy, MO
Other care in Oakville
- Companion Care in Oakville
- Dementia Care in Oakville
- Respite Care in Oakville
- Live-In Caregivers in Oakville
- Post-Surgery Care in Oakville
- Senior Transportation in Oakville
- Home Health Aides in Oakville
- Nursing Assistants in Oakville
- Personal Care in Oakville
- Overnight Caregivers in Oakville
- Mobility Assistance in Oakville
- Parkinson’s Care in Oakville
- Stroke Recovery Support in Oakville
- Disability Care for Adults in Oakville
- Hospice Support in Oakville
- Senior Meal Preparation in Oakville
- Senior Housekeeping in Oakville
- Medication Reminders in Oakville
- Veterans’ Home Care in Oakville
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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